cms_TN: 3624

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
3624 ST BARNABAS AT SISKIN HOSPITAL 445008 1 SISKEN PLAZA CHATTANOOGA TN 37403 2017-01-25 309 D 0 1 BSB511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, and interview, the facility failed to provide the necessary care and services for one resident (#30), of one resident reviewed for non-pressure related skin conditions of 21 residents reviewed. The findings included: Review of the medical record for Resident #30 revealed the resident was readmitted to this facility on 3/2/12 which [DIAGNOSES REDACTED]. Review of the medical record and the physician's orders [REDACTED].#30 had allergies [REDACTED]. She was also allergic to vaccines such as Tetanus and [MEDICATION NAME]. Per the physician's orders [REDACTED]. The order was dated 6/22/15. Review of the Treatment Administration Record (TAR) dated 10/15/16 - 1/24/17 revealed the PRN order for [MEDICATION NAME] 0.5% cream had not been added to the TAR. Review of the Medication Administration Record [REDACTED]. Observation of Resident #30 on 1/24/17 at 8:37 AM revealed the resident was lying in bed eating her breakfast. Resident #30 had several large red blotches, approximately the size of a quarter on her neck. In addition, she had red scaly areas all over her face and scalp. Resident #30 continuously scratched and picked at her head, neck and face. An interview with Resident #30 on 1/24/17 at 8:37 AM, revealed she had some kind of allergic reaction that caused her to scratch and pick at her skin continuously. When interviewed about if she had shared her symptoms with the nursing staff, Resident #30 stated that she thought that she had but she could not be sure. Resident #30 stated that she would like for the red, scaly blotches on her face, neck and scalp to go away. An interview on 1/24/17 at 1:00 PM with Certified Nursing Assistant (CNA) #1 who was assigned to Resident #30, revealed that while she was providing activities of daily living with Resident #30 she had noticed that she had a rash on her neck, face and scalp. When interviewed about what she had done relative for Resident #30's skin rash, CNA #1 stated that she told the nurse about the concern. CNA #1 added that she noticed Resident #30's skin rash the day previously but she did not document her concern; she stated again that she had just shared the concern with the nurse. An interview on 1/24/17 at 1:15 PM with the Licensed Practical Nurse (LPN) #3 revealed she was assigned to Resident #30's daily care for the past few days, however she had not completed a thorough skin assessment. Consequently, she had not noticed the rash on Resident #30's face, neck or scalp. When asked if CNA #1's had told her about Resident #30's skin condition, LPN #3 stated that she had not. 2020-04-01